Individual
SIERRA JACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
(844) 424-4537
Mailing address
2828 LEMMON AVE APT 4164, DALLAS, TX 75204-3807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88761
TX
Other
Enumeration date
12/20/2024
Last updated
02/05/2025
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